The American Journal of Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The effectiveness of intradermal sterile water injection for low back pain in the emergency department: A prospective, randomized controlled study
In this study, it was aimed to compare the effectiveness of systemic treatment with intradermal sterile water injection (ISWI) treatment protocol combined with systemic therapy in patients with LBP of unclear chronicity. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 20, 2021 Category: Emergency Medicine Authors: Erdal Tekin, Ali Gur, Mustafa Bayraktar, Ibrahim Ozlu, Bahar Keskin Celik Source Type: research

Association between laboratory parameters and CT severity in patients infected with Covid-19: A retrospective, observational study
In this study we reported the clinical, laboratory and radiological features of the cases diagnosed with COVID-19. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 20, 2021 Category: Emergency Medicine Authors: Atakan Yilmaz, Ramazan Sabirli, Murat Seyit, Mert Ozen, Alten Oskay, Vefa Cakmak, Tarik Goren, Ibrahim Turkcuer Source Type: research

Ηypercoagulation and myocardial injury as risk factors for mortality in patients with COVID-19 pneumonia
In the very interesting study published in the American Journal of Emergency Medicine [1] assessing possible associations between one-month mortality and laboratory and clinical findings, it was found that neutrophil-to-lymphocyte ratio, white blood cells count together with increase age and presence of ischemic heart disease can be considered as predictors of survival in patients suffering from Coronavirus Disease 2019 (COVID-19). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 19, 2021 Category: Emergency Medicine Authors: Nicholas G. Kounis, Ioanna Koniari, Christos Gogos, Stelios F. Assimakopoulos Source Type: research

Pediatric emergency medicine literature 2020
Most children are treated at general Emergency Departments (EDs) and not specialized pediatric EDs. Therefore, it is crucial for emergency medicine physicians to be aware of recent developments in pediatric emergency medicine. Often impactfularticles on pediatric emergency medicine are not published in the journals regularly studied by general emergency medicine physicians. We selected ten studies that we found impactful, robust, and relevant for practicing general emergency physicians. This review includes studies of status epilepticus, cardiac arrest, asthma, infant fever, wound care, rapid sequence intubation, coronavir...
Source: The American Journal of Emergency Medicine - January 16, 2021 Category: Emergency Medicine Authors: Frank Petruzella, Joshua Easter Source Type: research

More than just gastritis: An unusual presentation of strangulated transmesenteric hernia in a pediatric patient
Internal hernias are a rare occurrence, reported in only 0.2 –0.9% of the general population, and predominantly occur in adult patients as postsurgical complications. However, internal hernias can occur in pediatric patients, typically due to herniation of bowel through congenital mesenteric defects, and are associated with high rates of strangulation or vo lvulus (up to 30–40%) in this population. These can be especially difficult to detect due to nonspecific symptoms and rarity, but carry a steep mortality rate of 45% if treated and virtually 100% if missed. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 16, 2021 Category: Emergency Medicine Authors: Elizabeth A. Payonk, Rachel J. Williams Source Type: research

An educational module to improve knowledge of delirium screening in the Emergency Department
Delirium, an acute condition characterized by reduced awareness, emotional disturbance, and mental confusion, is associated with increased morbidity and mortality [1-3]. In the emergency department (ED), delirium affects 7 to 10% of older adult patients but is overlooked in more than half of cases [3]. Delirium screening tools have been created to improve detection in at-risk patients and seem promising. However, provider time constraints, insufficient training, and the lack of a universal diagnostic assessment tool inhibit widespread utilization [4]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 16, 2021 Category: Emergency Medicine Authors: Sarah C. Minion, Brooks J. Obr, Ryan M. Carnahan, Sangil Lee Source Type: research

Utilization of lysis percentage via thromboelastography for tissue plasminogen activator-induced symptomatic intracranial hemorrhage
Alteplase, the only FDA approved tissue plasminogen activator (tPA), remains one of the cornerstones of acute ischemic stroke (AIS) management. Just as with endogenous tPA, recombinant tPA promotes the activation of plasmin and the subsequent degradation of cross-linked fibrin to fibrin byproducts [1]. The most feared complication of recombinant tPA administration is the development of symptomatic intracranial hemorrhage (sICH), which occurs in approximately 5.6% of tPA administrations, utilizing the European Cooperative Acute Stroke Study definition, with roughly half of these cases resulting in death [2]. (Source: The Am...
Source: The American Journal of Emergency Medicine - January 16, 2021 Category: Emergency Medicine Authors: Brian W. Gilbert, J. Spencer Dingman, Joel B. Huffman Source Type: research

Pediatric minor head injury related return visits to the emergency department and their outcome
The objective of this study was to describe the frequency and outcome of unscheduled return visits (RVs) for MHI in a pediatric ED. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 16, 2021 Category: Emergency Medicine Authors: Rajan Arora, Meghna Shukla, Elizabeth McQuillen, Usha Sethuraman Source Type: research

The authors respond: Assessing the confidence in network meta-analysis results
We would like to thank the authors for their careful reading and thoughtful comments on our recent article “Amiodarone and/or lidocaine for cardiac arrest: A Bayesian network meta-analysis” [1]. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Hongli Zhao, Kai Fan, Guilong Feng Source Type: research

Pericardial decompression syndrome: A complication of pericardiocentesis
We report PDS after pericardiocentesis in two patients that presented to the emergency department with cardiac tamponade. In both cases, pericardiocentesis was performed under ultrasound guidance using the left parasternal approach and approximately 1200 –1500 mL of pericardial fluid was removed. Immediately after pericardiocentesis, the haemodynamic status of the patients improved. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Osman Adi, Chan Pei Fong, Azma Haryaty Ahmad, Azlizawati Azil, Asri Ranga, Nova Panebianco Source Type: research

The efficacy of telemedical care for heart failure: A meta-analysis of randomized controlled trials
The efficacy of telemedical care for the treatment of heart failure remains controversial. We conduct a systematic review and meta-analysis to explore the impact of telemedical care on heart failure. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: XuHui Ma, Jie Li, XiuZan Ren Source Type: research

Topical capsaicin for the treatment of cannabinoid hyperemesis syndrome, a systematic review and meta-analysis
Cannabinoid hyperemesis syndrome (CHS) is a condition that is being recognized and treated more frequently in emergency departments (EDs) across the United States. Currently, ED providers rely on antiemetics, antipsychotics and benzodiazepines to alleviate the symptoms. Topical capsaicin, a transient receptor potential vanilloid 1 (TRPV1) agonist, has been proposed in recent years as a low-cost and effective alternative to the traditional antiemetic regimen when treating CHS. The aim of this systematic review and meta-analysis is to demonstrate the reliability and the gaps of what is known about the treating modality. (Sou...
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Ali Pourmand, Gabriel Esmailian, Maryann Mazer-Amirshahi, Owen Lee-Park, Quincy K. Tran Source Type: research

Glasgow coma scale score of more than four on admission predicts in-hospital survival in patients after out-of-hospital cardiac arrest
The aim of the study was to assess the usefulness of the Glasgow Coma Scale (GCS) scoring assessed by the EMS team in predicting survival to hospital discharge in patients with out-of-hospital cardiac arrest (OHCA). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Klaudiusz Nadolny, Kamil Bujak, Marta Obremska, Dorota Zysko, Maciej Sterlinski, Lukasz Szarpak, Jacek Kubica, Jerzy Robert Ladny, Mariusz Gasior Source Type: research

Plasma syndecan-1 is associated with fluid requirements and clinical outcomes in emergency department patients with sepsis
Degradation of the endothelial glycocalyx is recognized as a major part of the pathophysiology of sepsis. Previous clinical studies, mostly conducted in intensive care settings, showed associations between glycocalyx shedding and clinical outcomes. We aimed to explore the association of plasma syndecan-1, a marker of glycocalyx degradation, with the subsequent fluid requirements and clinical outcomes of emergency department patients with sepsis. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Jutamas Saoraya, Lipda Wongsamita, Nattachai Srisawat, Khrongwong Musikatavorn Source Type: research

Surviving traumatic cardiac arrest: Identification of factors associated with survival
The endpoint of resuscitative interventions after traumatic injury resulting in cardiopulmonary arrest varies across institutions and even among providers. The purpose of this study was to examine survival characteristics in patients suffering torso trauma with no recorded vital signs (VS) in the emergency department (ED). (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - January 15, 2021 Category: Emergency Medicine Authors: Andrew Khalifa, Jacob B. Avraham, Kristina Z. Kramer, Francesco Bajani, Chih Yuan Fu, Alexandra Pires-Menard, Matthew Kaminsky, Faran Bokhari Source Type: research